| Code | Description | Claims | Beneficiaries | Total Paid |
| A0427 |
Ambulance service, advanced life support, emergency transport, level 1 (als 1 - emergency) |
3,079 |
2,416 |
$607K |
| A0425 |
Ground mileage, per statute mile |
8,658 |
5,639 |
$592K |
| A0429 |
Ambulance service, basic life support, emergency transport (bls-emergency) |
1,233 |
953 |
$212K |
| A0428 |
Ambulance service, basic life support, non-emergency transport, (bls) |
2,628 |
1,856 |
$179K |
| A0426 |
Ambulance service, advanced life support, non-emergency transport, level 1 (als 1) |
360 |
297 |
$49K |
| A0434 |
Specialty care transport (sct) |
13 |
13 |
$7K |
| A0998 |
Ambulance response and treatment, no transport |
17 |
16 |
$3K |